Pilot results of a telemedicine social franchise in rural Kenya: Evidence of sustainable livelihood creation

Katelyn Holmes, Stephen Suffian, Jeffrey D. Lackey, Khanjan Mehta

Research output: Contribution to journalConference articlepeer-review

2 Scopus citations


Mashavu: Networked Health Solutions increases access to pre-primary health services, provides personal health information tracking, and income-generation opportunities to women in rural Kenya. The aim of this paper is to explore the potential of Mashavu, a healthcare social franchise, to create sustainable livelihoods for its employees in rural Kenya. The research team conducted two pilots of the Mashavu system in a rural Kenyan community. While the initial pilot protected Mashavu Health Workers (MHWs) from the financial risks of taking a new service to the market, the second pilot removed employee income subsidies. The removal of subsidies after the conclusion of the first pilot led to a divergence in monthly wages for the MHWs. While one MHW retained consistent monthly income by increasing the number of days worked monthly and the number of clients seen, a second MHW retained a largely consistent schedule without significantly increasing the number of clients daily and experienced a 600 KSH (29%) decrease in monthly wages. Following a period of employee incubation from financial risk, the MHWs consistently involved in the program were able to continue to generate income through Mashavu.

Original languageEnglish (US)
Pages (from-to)200-207
Number of pages8
JournalProcedia Engineering
StatePublished - 2014
EventHumanitarian Technology: Science, Systems and Global Impact 2014, HumTech2014 - Boston, Cambridge, United States
Duration: May 13 2014May 15 2014

All Science Journal Classification (ASJC) codes

  • Engineering(all)


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